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Petition for Certificate of Achievement Department of Life SciencesFundamentals of Medical Billing & Coding (18.5 units) Sample Course Sequence FIRST SEMESTER COURSES DESCRIPTION HLTHOCC 063 Basic
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To fill out fundamentals of medical billing, follow these steps:
02
Gather patient information, including name, contact details, and insurance information.
03
Obtain the necessary medical documents, such as patient records, diagnosis codes, and treatment information.
04
Identify the medical services provided to the patient, along with the corresponding CPT (Current Procedural Terminology) codes.
05
Determine the appropriate modifiers for the CPT codes, if necessary.
06
Calculate the charges for the medical services rendered.
07
Verify insurance coverage and eligibility for the patient.
08
Submit the medical billing claim electronically or by mail, including all the required information and supporting documents.
09
Follow up with the insurance company to track the progress of the claim and resolve any issues or rejections.
10
Receive reimbursement from the insurance company, patient, or other responsible party.
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Document all the billing processes and keep accurate records for auditing purposes.

Who needs fundamentals of medical billing?

01
Fundamentals of medical billing are needed by medical billing specialists, healthcare providers, medical coders, medical office administrators, and anyone involved in the revenue cycle management of healthcare organizations.
02
These individuals require knowledge of medical billing fundamentals to accurately submit insurance claims, ensure timely reimbursement, prevent fraudulent billing practices, and maintain the financial health of healthcare facilities.
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Fundamentals of medical billing refers to the essential processes and procedures involved in submitting and processing billing claims for medical services provided by healthcare professionals to patients and their insurance companies.
Healthcare providers, medical billing professionals, and institutions that offer healthcare services are typically required to file medical billing claims.
To fill out medical billing claims, you need to collect accurate patient information, details of services rendered, diagnosis codes, procedure codes, insurance information, and submit this data through appropriate billing forms or software.
The purpose of medical billing is to ensure that healthcare providers are compensated for their services, to manage the revenue cycle, and to maintain accurate financial records for both providers and patients.
Required information includes patient demographics, insurance details, dates of service, types of services rendered, procedure codes, diagnosis codes, and charges associated with the services.
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